I Have Heavy, Puffy Upper Eyelids. Are the Non-surgical Alternatives to Fix That?

My upper eyelids are very heavy and puffy. It's not because of my age--I was born with these eyes:) I would like to find an alternative solution to the surgery.

Doctor Answers 16

Puffy upper eyelids

Your brow position is satisfactory. Puffy upper eyelids are often hereditary and is caused by excess fat. Surgery is the only option but you may not need skin removal, so there is no danger of pulling down your brow. Fat removal will delineate a nice crease and you'll be happy with that. It is a safe and quick procedure in experienced hands. Good luck.

Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

First there is no substitute for an actual personal consultation.

Dear Nklimovi

Your heavy eyebrow is an important facial feature.  Cutting the upper eyelid skin actually causes the eyebrow to fall and is generally not ideal.  The best nonsurgical option for this is my patented microdroplet BOTOX forehead lift. Follow the link below for more information on this.  This is a nonsurgical forehead lift.  You also have a relatively prominent midcheek groove and midcheek/deep cheek filler would help restore youthfulness to your face.  I agree you do not need surgery at this time.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Full upper lids

Full upper eyelids and brows are a sign of youth.  Upper lid blepharoplasty can help if done conservatively. There are no nonsurgical techniques for that.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 74 reviews

Non surgical improvement in upper lids

Some individuals do have a fuller, upper lid based on familial facial shape, not aging. Surgery can rejuvenate the aging lid. The lower lid can be improved with fill for some. However, based on your photos, you look fine just the way you are.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

I have heavy puffy upper Eyelids. Are there nonsurgical alternatives to fix that?

Unfortunately, a surgical upper blepharoplasty is required to  improve and rejuvenate the upper eyelids. The primary goal for upper eyelid surgery is to remove excess skin and a small amount of fat creating the puffiness. For more information  and many examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Non-Surgical treatments for heavy upper eyelids

Thank you for your question.  The photo you provided is helpful, but it is a bit difficult to see the fine details.  The bottom line is that your best option is a consultation with a cosmetic surgeon who is experienced with eyelids.

That said, it is certainly possible that a little Botox, properly placed, could give you a subtle lifting of the brows.  That tends to reduce some upper eyelid fullness.  Other patients have some loss of fat in their brows.  That causes the brow area to flatten and hang down a bit.  In those situations some filler like Restylane or Juvederm can help.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 24 reviews

Puffy eyelids

This is no easy solution to puffy eyelids which are congenital and not related to excess skin.  One of the few things that seems to work is the use of Thermismooth to tighten the skin and the underlying tissues which can reduce the puffy appearance.


Dr. Janjua

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 104 reviews

Alternatives To Eyelid Surgery

Although blepharoplasty surgery is the only treatment that is long lasting there are a few things you can do that are of temporary help. Make sure you have an exam to make sure that you do not have weak eye muscles, ptosis, as your cause by an exam by a board certified specialist.

Lower lids: Ceramide creams for the lower lids which in minutes as they dry the clear membrane tightens the lower lid skin minimizing bags and wrinkles. This lasts from 4-8 hrs and can be reapplied as needed. Radiofrequency, laser and peels tighten the skin with minimal downtime. Fillers for fat transfer #lipoinjection, to the lower lid to fill in the cheek-lid depression that casts shadows also helps many.

For the upper lids, Botox in the crows feet area just below the brow will gently lift the lateral brow and lift a bit of the hooding on the side of your eye. This lasts about 3-4 months. Make sure you go to an expert injector associated with a Plastic Surgeon, Facial Plastic Surgeon, Dermatologist, or Ophthalmologist skilled in injections.


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Puffy upper eyelids

Botox or Dysport could help if the brow is pushing down on your eyes, causing the droopiness. However, you appear to be younger and this might not be effective. Either way, you should see a board certified plastic surgeon for an exam to determine what would help in your situation.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Options for Puffy Eyelids

                  Puffy upper eyelids can occur for a variety of reasons. In the vast majority of cases this problem is related to facial aging. Under these circumstances, puffy eyelids are usually related to excess eyelid skin associated with prominent fat pads. Unfortunately, there are no non-surgical methods available for the removal of eyelid fat. Correction of this problem usually requires blepharoplasty surgery.
                  In other patients, puffy eyelids may be inherited and related to genetic factors. When this occurs, blepharoplasty can be performed, but in most cases is not indicated.
                  Finally, puffy eyelids may be related to neither conditions that effect the upper eyelids secondarily. For example, premature brow descent might cause the eyelids to look puffy. Unfortunately, correction of this problem would also require surgical intervention.
                  Patients with allergies may also develop puffy eyes. Under these circumstances, treatment of the allergies may avoid surgery.
                  Surgery is indicated in the vast majority of patients who have puffy eyelids because of upper eyelid fat. Sometimes eye makeup can help hide this problem, but severe deformities usually require surgery. If you’re concerned about this issue, consultation with a board certified plastic surgeon is appropriate. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.